Traci L Freitas, DPT, CLT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070016471 Issued in IL

Practice address

350 N Wall St
Rehab Services
Kankakee, IL 60901-2901

Phone

(815) 935-7514

Fax

(815) 935-7069

NPI assigned

Oct 22, 2012

Last updated

Oct 22, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350864000000",
    "number": "1790038222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N WALL ST",
            "address_2": "REHAB SERVICES",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012901",
            "telephone_number": "815-935-7514",
            "fax_number": "815-935-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N WALL ST",
            "address_2": "REHAB SERVICES",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012901",
            "telephone_number": "815-935-7514",
            "fax_number": "815-935-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREITAS",
        "first_name": "TRACI",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "DPT, CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070016471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Fitzpatrick, COTA
• Jasmynn Flores
• Richard Fosen, B.S
• Thomas Patrick Fosnaugh, PHARM.D.
• Gwendolyn J Franklin
• Leah Kirstine Frey
• Edward Kent Frye, MD
• Iga Fudyma
• Aaron Fuerst, PT
• Morgan Taylor Funk, AGPCNP-BC

• Physical Therapist in Kankakee, IL
• Providers in Kankakee, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.